CN107666850A - Fiber Management in the Medical Device Backend - Google Patents
Fiber Management in the Medical Device Backend Download PDFInfo
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- CN107666850A CN107666850A CN201680032761.2A CN201680032761A CN107666850A CN 107666850 A CN107666850 A CN 107666850A CN 201680032761 A CN201680032761 A CN 201680032761A CN 107666850 A CN107666850 A CN 107666850A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00163—Optical arrangements
- A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
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- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B23/00—Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
- G02B23/24—Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
- G02B23/26—Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes using light guides
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- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
- G02B6/24—Coupling light guides
- G02B6/36—Mechanical coupling means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M2025/0166—Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
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Abstract
Description
技术领域technical field
本申请要求美国临时专利申请No.62/155,655的优先权,其全部内容通过引用并入本文。This application claims priority from US Provisional Patent Application No. 62/155,655, the entire contents of which are incorporated herein by reference.
背景技术Background technique
已知用于检测光纤的形状的各种技术及其应用。Various techniques for detecting the shape of optical fibers and their applications are known.
美国专利No.7,781,724(其全部内容通过引用并入本文)公开了能够确定物体的位置和形状的光纤传感器。该专利公开了一种采用光纤装置的光纤位置和形状感测设备,以及用于使用光纤位置和形状感测设备确定物体的位置和形状的方法,该光纤装置包括至少两个光纤芯并具有设置在其中的与频域反射计耦合的光纤布拉格光栅阵列。US Patent No. 7,781,724 (incorporated herein by reference in its entirety) discloses a fiber optic sensor capable of determining the position and shape of an object. This patent discloses a fiber optic position and shape sensing device and method for determining the position and shape of an object using a fiber optic device comprising at least two fiber optic cores and having a set A fiber Bragg grating array coupled with a frequency domain reflectometer within it.
美国专利No.7,720,322(其全部内容通过引用并入本文)公开了一种具有光纤的形状感测系统,以确定运动链中的一个连杆相对于另一连杆的位置和取向。当运动链中的接头移动时,询问器感测光纤中的应变。所感测的应变用于输出笛卡尔位置和取向。US Patent No. 7,720,322 (incorporated herein by reference in its entirety) discloses a shape sensing system with optical fibers to determine the position and orientation of one link relative to another link in a kinematic chain. The interrogator senses the strain in the fiber as the joint in the kinematic chain moves. The sensed strain is used to output Cartesian position and orientation.
美国专利No.8,460,236(其全部内容通过引用并入本文)公开了用于感测或测量可成形细长医疗器械的一个或更多个部件的形状或位置和形状的方法、系统和装置。US Patent No. 8,460,236 (incorporated herein by reference in its entirety) discloses methods, systems and apparatus for sensing or measuring the shape or position and shape of one or more components of a formable elongate medical device.
美国专利No.8,672,837(其全部内容通过引用并入本文)也公开了用于感测或测量可成形细长医疗器械的一个或更多个部件的形状或位置和形状的方法、系统和装置。US Patent No. 8,672,837 (incorporated herein by reference in its entirety) also discloses methods, systems and apparatus for sensing or measuring the shape or position and shape of one or more components of a formable elongate medical device.
发明内容Contents of the invention
使用光纤的形状感测在需要知道工具的形状和/或位置的应用中可以是有用的。例如,医疗器械经常插入人体或动物体内,并被导引通过血管或消化道。工具的形状或位置可以为使用该工具的程序提供有用的信息。虽然本文频繁地讨论导管,但是应该理解,前面的描述可应用于弯曲和/或改变形状的任何类型的工具。实际上,本公开可以应用于关注的形状或端点位置的任何结构。例如,铰接的机械臂可以弯曲和/或改变形状。本公开可以应用于其他柔性结构,诸如变形天线、变形翼(morphing wings)、用于远程操作车辆和声纳阵列的系绳。实际上,根据本技术,可以将关注形状或端点位置的任何结构视为工具。Shape sensing using fiber optics can be useful in applications where knowledge of the shape and/or position of a tool is required. For example, medical devices are often inserted into the human or animal body and guided through blood vessels or the digestive tract. The shape or location of a tool can provide useful information to the program using that tool. While catheters are frequently discussed herein, it should be understood that the preceding description is applicable to any type of implement that bends and/or changes shape. In fact, the present disclosure can be applied to any structure of shape or endpoint location of interest. For example, an articulated robotic arm can bend and/or change shape. The present disclosure can be applied to other flexible structures such as morphing antennas, morphing wings, tethers for remotely operating vehicles and sonar arrays. In fact, any structure that is concerned with shape or endpoint location can be considered a tool according to this technique.
通过在工具内使用光纤的形状感测的实际实现方式,工具的中心部分可以用于工具的功能方面。例如,图1示出被描述为导管的工具10的横截面图或端视图。导管10的中心部分是管腔12,管腔12允许另一工具或物质通过导管10。导管10可包括围绕管腔12排列的一根或多根线14,以操纵导管10的形状。管腔12和线14的位置可以指示用于感测导管10的形状的光纤100与导管10的中心或中性轴线16偏移。With the practical implementation of shape sensing using optical fibers within the tool, the central part of the tool can be used for the functional aspects of the tool. For example, FIG. 1 shows a cross-sectional or end view of a tool 10 described as a catheter. A central portion of catheter 10 is a lumen 12 that allows passage of another tool or substance through catheter 10 . Catheter 10 may include one or more wires 14 arrayed around lumen 12 to manipulate the shape of catheter 10 . The position of the lumen 12 and wire 14 may indicate that the optical fiber 100 used to sense the shape of the catheter 10 is offset from the center or neutral axis 16 of the catheter 10 .
在一些应用中,光纤100的端部可以相对于导管10的端部固定。例如,如果需要检测导管端部的位置,则将光纤100的端部相对于导管10的端部固定可以是有利的。可以存在将光纤100的端部相对于导管10的端部固定的其他原因。例如,光纤100的端部可以是将光纤100附接到导管10的最方便的位置。In some applications, the end of optical fiber 100 may be fixed relative to the end of catheter 10 . For example, it may be advantageous to secure the end of the optical fiber 100 relative to the end of the catheter 10 if it is desired to detect the position of the catheter end. There may be other reasons for securing the end of the optical fiber 100 relative to the end of the catheter 10 . For example, the end of the optical fiber 100 may be the most convenient location to attach the optical fiber 100 to the catheter 10 .
如果光纤100从中性轴线16偏移,则可出现某些考虑事项。例如,图2示出导管10的侧视图,其中光纤100被示为从导管10的中心偏移的虚线。当导管10是平直的时,对应于导管10的长度的光纤100的长度与导管10的长度轴向对齐。Certain considerations may arise if the optical fiber 100 is offset from the neutral axis 16 . For example, FIG. 2 shows a side view of catheter 10 in which optical fiber 100 is shown as a dashed line offset from the center of catheter 10 . The length of the optical fiber 100 corresponding to the length of the catheter 10 is axially aligned with the length of the catheter 10 when the catheter 10 is straight.
图3示出向上弯曲或从中性轴线16朝向光纤100弯曲的导管10。在沿该方向弯曲的情况下,因为光纤100的长度不变,所以对应于导管10的端部的光纤100的位置102相对于导管10的端部被迫向外推动距离D。FIG. 3 shows the catheter 10 bent upwards or from the neutral axis 16 towards the optical fiber 100 . In the case of bending in this direction, the position 102 of the fiber 100 corresponding to the end of the catheter 10 is forced outwards by a distance D relative to the end of the catheter 10 because the length of the fiber 100 does not change.
图4示出沿与图3所示相反的取向弯曲的导管10。通过此类弯曲,光纤100的位置102被拉入导管10距离D。FIG. 4 shows the catheter 10 bent in the opposite orientation to that shown in FIG. 3 . By such bending, the location 102 of the optical fiber 100 is drawn a distance D into the catheter 10 .
如这些附图所示,当导管10改变形状时,光纤100沿其长度相对于导管10移动。因此,光纤的形状可不完全对应于导管10的形状(例如,因为弯曲半径可不同并且光纤100的一部分可以从导管10延伸或被拉入导管10中),并且相关性可以用于说明任何差异。然而,光纤100被约束到导管10的方式可影响相关性。例如,如图5所示,如果光纤长一米,并且光纤100的位置102与导管10错位十分之一度,则导管10的端部的任何感测位置将偏离1.75毫米。如果导管10和光纤100具有任何弯曲部(bend),则误差可以被放大。As shown in these figures, the optical fiber 100 moves relative to the catheter 10 along its length as the catheter 10 changes shape. Thus, the shape of the fiber may not exactly correspond to the shape of the catheter 10 (eg, because the bend radius may be different and a portion of the fiber 100 may extend from or be drawn into the catheter 10), and correlations may be used to account for any differences. However, the manner in which the optical fiber 100 is constrained to the catheter 10 can affect the correlation. For example, as shown in Figure 5, if the fiber is one meter long, and the position 102 of the fiber 100 is misaligned from the catheter 10 by a tenth of a degree, then any sensed position of the end of the catheter 10 will be off by 1.75 millimeters. Errors can be magnified if the catheter 10 and optical fiber 100 have any bends.
另外,限制施加到光纤100上的应变可以是重要的。例如,如在上面引用的专利中的一个或更多个中所解释的,光纤100中的应变用于确定光纤100的形状。如果光纤100由于被固定到导管10而被拉伸(取代或补充弯曲以适形于导管10的形状),则来自拉伸的应变可引起影响用于计算光纤100的形状的信号的应变。而且,从机械角度来看,放置在光纤100上的过多应变可导致光纤断裂。Additionally, it may be important to limit the strain applied to the optical fiber 100 . For example, the strain in the fiber 100 is used to determine the shape of the fiber 100 as explained in one or more of the patents cited above. If the fiber 100 is stretched (instead of or in addition to being bent to conform to the shape of the catheter 10 ) as a result of being secured to the catheter 10 , the strain from the stretching can cause strain affecting the signal used to calculate the shape of the fiber 100 . Also, from a mechanical standpoint, too much strain placed on the fiber 100 can cause the fiber to break.
本技术的一个方面解决了现有技术的一个或更多个问题。One aspect of the present technology addresses one or more problems of the prior art.
本技术的一个方面包括一种柔性工具,该柔性工具包括:光纤,其包括近侧端部、远侧端部、在近侧端部和远侧端部之间的中间部分以及在近侧端部和中间部分之间的可调节弯曲部,其中该中间部分被约束为具有基本上沿由光纤在中间部分处限定的轴线平移的单个自由度。One aspect of the present technology includes a flexible tool comprising: an optical fiber including a proximal end, a distal end, an intermediate portion between the proximal end and the distal end, and an optical fiber at the proximal end An adjustable bend between the first portion and the middle portion, wherein the middle portion is constrained to have a single degree of freedom of translation substantially along an axis defined by the optical fiber at the middle portion.
在示例中,(a)柔性工具进一步包括具有柔性部分和自由端部的主体,其中光纤的一部分位于主体内,并且远侧端部在自由端部处或自由端部附近相对于主体固定;(b)主体包括中性轴线,并且光纤设置在主体内,其中光纤从中性轴线偏移并且至少在柔性部分处基本上平行于中性轴线;(c)远侧端部可相对于近侧端部以三个平移自由度移动;(d)远侧端部可相对于近侧端部以两个旋转自由度移动;(e)远侧端部可相对于近侧端部以三个平移自由度和两个旋转自由度移动;(f)柔性部分包括柔性接头;(g)柔性工具进一步包括刚性构件,其中中间部分固定在刚性构件内;(h)刚性构件基本上是沿圆柱体的轴向长度具有平坦表面的圆柱体;(i)柔性工具进一步包括:两个圆柱形销,该两个圆柱形销具有基本上彼此平行的中心轴线并且一起限定第一平面;第三圆柱形销,其具有基本上平行于两个圆柱形销的中心轴线并从两个圆柱形销的中心轴线偏移并且基本上竖直于第一平面的在第二平面中的中心轴线;球和弹簧,其中第三销和球沿平坦表面接触刚性构件,两个圆柱形销沿圆柱体的轴向长度与刚性构件接触,但不在平坦表面上与其接触,并且弹簧接触刚性构件以推动刚性构件与两个圆柱体、第三圆柱体和球接触;(j)刚性构件包括具有由第一平面限定的第一平坦表面和由第二平面限定的第二平坦表面的块,所述第二平面沿与单个自由度基本上平行的线与第一平面相交;(k)柔性工具进一步包括支撑构件和推动构件,支撑构件具有与第一平坦表面接触的三个球形接触点,与第二平坦表面接触的两个球形接触点,推动构件推动第一平坦表面和第二平坦表面分别与三个球形接触点和两个球形接触点接触;(l)刚性构件包括基本上平行于所述第一平坦表面的第三平坦表面和基本平行于第二平坦表面的第四平坦表面,并且推动构件包括第一构件和第二构件,第一构件接触第三平坦表面以推动刚性构件朝向三个球形接触点,第二构件接触第四平坦表面以朝向两个球形接触点推动刚性构件;(m)柔性工具进一步包括返回机构,返回机构被配置为朝向预定起始位置推动中间部分;(n)返回机构是可调节弯曲部且该可调节弯曲部包括环;(o)返回机构包括电磁体;(p)光纤在近侧端部处连接到电子设备,电子设备通过经由光纤传输的光来检测光纤的形状;以及/或者(q)柔性工具进一步包括壳体,壳体包封可调节弯曲部并且在壳体内提供空间用于调节可调节弯曲部。In an example, (a) the flexible tool further includes a body having a flexible portion and a free end, wherein a portion of the optical fiber is located within the body, and the distal end is fixed relative to the body at or near the free end; ( b) the body includes a neutral axis, and the optical fiber is disposed within the body, wherein the optical fiber is offset from the neutral axis and is substantially parallel to the neutral axis at least at the flexible portion; (c) the distal end is reversible relative to the proximal end Moves with three translational degrees of freedom; (d) the distal end is movable with two rotational degrees of freedom relative to the proximal end; (e) the distal end is movable with three translational degrees of freedom relative to the proximal end and two rotational degrees of freedom; (f) the flexible part includes a flexible joint; (g) the flexible tool further includes a rigid member, wherein the middle part is fixed within the rigid member; (h) the rigid member is substantially along the axial direction of the cylinder A cylinder having a length of flat surface; (i) the flexible tool further comprising: two cylindrical pins having central axes substantially parallel to each other and together defining a first plane; a third cylindrical pin which having a central axis in a second plane substantially parallel to and offset from the central axes of the two cylindrical pins and substantially perpendicular to the first plane; a ball and a spring, wherein the first Three pins and balls contact the rigid member along the flat surface, two cylindrical pins contact the rigid member along the axial length of the cylinder but not on the flat surface, and a spring contacts the rigid member to push the rigid member against the two cylinders , the third cylinder and the ball contact; (j) the rigid member includes a block having a first planar surface defined by a first plane and a second planar surface defined by a second plane along a single degree of freedom Substantially parallel lines intersect the first plane; (k) the flexible tool further includes a support member and a push member, the support member has three spherical contact points in contact with the first flat surface, two spherical contact points in contact with the second flat surface contact points, the pushing member pushes the first flat surface and the second flat surface into contact with three spherical contact points and two spherical contact points respectively; (1) the rigid member includes a third flat surface substantially parallel to the first flat surface surface and a fourth flat surface substantially parallel to the second flat surface, and the pushing member includes a first member and a second member, the first member contacts the third flat surface to push the rigid member toward three spherical contact points, and the second member contacts a fourth flat surface to push the rigid member toward the two spherical contact points; (m) the flexible tool further includes a return mechanism configured to push the intermediate portion toward a predetermined starting position; (n) the return mechanism is an adjustable bend and The adjustable bend includes a ring; (o) the return mechanism includes an electromagnet; (p) the optical fiber is connected at the proximal end to an electronic device that detects the shape of the optical fiber by light transmitted through the optical fiber; and/or ( q) The flexible tool further includes a housing enclosing the adjustable bend and providing space within the housing for adjusting the adjustable bend.
本技术的一个方面包括一种用于检测柔性工具的形状的方法,该方法包括:沿柔性工具的至少一部分设置光纤,将光纤的第一端部固定在工具的端部处或端部附近,将光纤的第二端部固定在已知位置处,将在第一端部和第二端部之间的光纤的一部分约束到基本上沿由光纤限定的轴线的单个平移自由度,至少移动该工具的端部使得工具具有合成形状(resultant shape),沿电缆传输光,并且使用所传输的光来检测柔性工具的合成形状。One aspect of the present technology includes a method for detecting the shape of a flexible tool, the method comprising: disposing an optical fiber along at least a portion of the flexible tool, securing a first end of the optical fiber at or near an end of the tool, fixing the second end of the optical fiber at a known position, constraining a portion of the optical fiber between the first end and the second end to a single translational degree of freedom substantially along an axis defined by the optical fiber, moving at least the The end of the tool causes the tool to have a resultant shape, transmits light along the cable, and uses the transmitted light to detect the resultant shape of the flexible tool.
在示例中,光纤被设置成从柔性工具的中性轴线偏移并且基本上与平行于柔性工具的中性轴线。In an example, the optical fiber is arranged offset from and substantially parallel to the neutral axis of the flexible tool.
本技术的一个方面包括一种柔性工具,该柔性工具包括:光纤,其包括近侧端部、远侧端部、在近侧端部和远侧端部之间的中间部分、在近侧端部和中间部分之间的可调节弯曲部;以及壳体,其包封可调节弯曲部,并在壳体内提供空间用于调节可调节弯曲部。One aspect of the present technology includes a flexible tool comprising: an optical fiber comprising a proximal end, a distal end, an intermediate portion between the proximal end and the distal end, a an adjustable bend between the upper portion and the middle portion; and a housing enclosing the adjustable bend and providing space within the housing for adjusting the adjustable bend.
在示例中,(a)壳体防止从柔性工具的外部与可调节弯曲部接触;(b)可调节弯曲部包括至少一个完整的环;(c)可调弯曲部小于一个完整的环;(d)壳体提供间隙以允许可调节弯曲部的相对弯曲和矫直;(e)柔性工具被配置成在中间部分内弯曲预定的正角度以及在中间部分内弯曲预定的负角度;并且该间隙适应通过将柔性工具弯曲预定的正角度和预定的负角度而引起的可调节弯曲部内的相对弯曲和矫直的整个范围;(f)壳体内的空间足以沿可调节弯曲部的预定长度提供围绕可调节弯曲部的整个周边的径向间隙;以及/或者(g)壳体内的空间将可调节弯曲部基本上约束在平面内。In an example, (a) the housing prevents contact with the adjustable bend from the outside of the flexible tool; (b) the adjustable bend includes at least one full loop; (c) the adjustable bend is less than one full loop; ( d) the housing provides clearance to allow relative bending and straightening of the adjustable bend; (e) the flexible tool is configured to bend a predetermined positive angle within the middle portion and a predetermined negative angle within the middle portion; and the clearance accommodating the entire range of relative bending and straightening within the adjustable bend caused by bending the flexible tool to predetermined positive and predetermined negative angles; (f) the space within the housing is sufficient to provide surrounding radial clearance around the entire perimeter of the adjustable bend; and/or (g) the space within the housing constraining the adjustable bend substantially in a plane.
根据以下结合附图的具体实施方式,该技术的其他方面、特征和优点将变得显而易见,所述附图是本公开的一部分并且以示例的方式说明本技术的原理。Other aspects, features, and advantages of the technology will become apparent from the following detailed description, taken in conjunction with the accompanying drawings, which are a part of this disclosure and illustrate by way of example the principles of the technology.
附图说明Description of drawings
图1是具有光纤的柔性工具的端部剖视图;Figure 1 is an end cross-sectional view of a flexible tool with an optical fiber;
图2是处于平直状态的具有光纤的柔性工具的侧视图;Figure 2 is a side view of a flexible tool with an optical fiber in a flat state;
图3是处于弯曲状态的具有光纤的柔性工具的侧视图;Figure 3 is a side view of a flexible tool with an optical fiber in a bent state;
图4是处于与图3中的弯曲部相反的弯曲状态的具有光纤的柔性工具的侧视图;Figure 4 is a side view of the flexible tool with optical fibers in a bent state opposite to the bend in Figure 3;
图5是光纤的位置误差的示例性图示;Figure 5 is an exemplary illustration of position error of an optical fiber;
图6是具有近侧端部、远侧端部和中间部分的光纤的示意性表示;Figure 6 is a schematic representation of an optical fiber having a proximal end, a distal end and an intermediate portion;
图7是具有铰接接头的工具的示例性图示;Figure 7 is an exemplary illustration of a tool with an articulating joint;
图8是提供单个平移自由度的第一方式;Figure 8 is a first way of providing a single translational degree of freedom;
图9是提供单个平移自由度的第二方式的第一视图;Figure 9 is a first view of a second way of providing a single translational degree of freedom;
图10是提供单个平移自由度的第二方式的第二视图;Figure 10 is a second view of a second way of providing a single translational degree of freedom;
图11是提供单个平移自由度的第二方式的第三视图;Figure 11 is a third view of the second way of providing a single translational degree of freedom;
图12是提供单个平移自由度的第二方式的第四视图;Figure 12 is a fourth view of the second way of providing a single translational degree of freedom;
图13是提供单个平移自由度的第二方式的第五视图;Figure 13 is a fifth view of the second way of providing a single translational degree of freedom;
图14是具有近侧端部、远侧端部和中间部分以及电磁体的光纤的示意性表示;Figure 14 is a schematic representation of an optical fiber having a proximal end, a distal end, and an intermediate portion, and an electromagnet;
图15是包封可调节弯曲部的壳体的第一示例性图示;Figure 15 is a first exemplary illustration of a housing enclosing an adjustable bend;
图16是包封可调节弯曲部的壳体的第二示例性图示;Figure 16 is a second exemplary illustration of a housing enclosing an adjustable bend;
图17a是包封可调节弯曲部的壳体的第三示例性图示;Figure 17a is a third exemplary illustration of a housing enclosing an adjustable bend;
图17b类似于图17a,但是包括断开的部分,使得可调节弯曲部更加可见;以及Fig. 17b is similar to Fig. 17a, but includes a section broken out so that the adjustable bend is more visible; and
图18是包封可调节弯曲部的壳体的第四示例性图示。18 is a fourth exemplary illustration of a housing enclosing an adjustable bend.
具体实施方式Detailed ways
关于可以共享共同特性和特征的若干示例提供以下描述。应该理解,任一个示例的一个或更多个特征可以与其他示例的一个或更多个特征组合。另外,示例中的任一个中的任何单个特征或特征的组合可以构成附加的示例。The following description is provided with regard to several examples that may share common characteristics and characteristics. It should be understood that one or more features of any one example may be combined with one or more features of other examples. Additionally, any single feature or combination of features in any of the examples may constitute an additional example.
贯穿本公开,可以使用诸如“第一”、“第二”等的术语。然而,这些术语并非旨在限制或指示特定的顺序,而是用于相互区分类似描述的特征,除非另外明确指出。诸如“基本上”和“约”的术语旨在允许考虑制造公差、测量公差的变化或本领域技术人员将会接受的与理想值的差异。Throughout this disclosure, terms such as "first", "second", etc. may be used. However, these terms are not intended to be limiting or to indicate a particular order, but are used to distinguish similarly described features from each other unless expressly stated otherwise. Terms such as "substantially" and "about" are intended to allow for manufacturing tolerances, variations in measurement tolerances, or variations from ideal values that those skilled in the art will accept.
如本文所讨论的,中性轴线是指沿柔性主体的线,其中当主体弯曲时,长度不变。在圆柱体中,中性轴线与限定圆柱体中心的轴线重合。As discussed herein, a neutral axis refers to a line along a flexible body where the length does not change when the body bends. In a cylinder, the neutral axis coincides with the axis defining the center of the cylinder.
图6是具有近侧端部104、远侧端部106和中间部分108的光纤100的示意性表示。近侧端部104可被固定在适当的位置以提供用于计算光纤100的形状的已知位置。中间部分可以具有基本上沿由光纤100在中间部分108处所限定的轴线的平移的单个自由度。该单个自由度由两个轮112上的块110示意性地示出。下文详细描述单个自由度的示例性实现方式。FIG. 6 is a schematic representation of an optical fiber 100 having a proximal end 104 , a distal end 106 and an intermediate portion 108 . The proximal end 104 may be fixed in place to provide a known position for calculating the shape of the optical fiber 100 . The intermediate portion may have a single degree of freedom of translation substantially along the axis defined by the optical fiber 100 at the intermediate portion 108 . This single degree of freedom is schematically shown by blocks 110 on two wheels 112 . Exemplary implementations for a single degree of freedom are described in detail below.
光纤100包括在近侧端部104和中间部分108之间的可调节弯曲部114。可调节弯曲部114被示为环,但是不要求环,参见例如图15。光纤100可以设置在具有柔性部分118和自由端部120的主体116内,诸如图3中所示的导管10。不是所有的光纤100都需要在主体116内。例如,只有远侧端部106和中间部分108可以位于主体116内。Optical fiber 100 includes an adjustable bend 114 between proximal end 104 and intermediate portion 108 . The adjustable bend 114 is shown as a ring, but a ring is not required, see eg FIG. 15 . The optical fiber 100 may be disposed within a body 116 having a flexible portion 118 and a free end 120 , such as the catheter 10 shown in FIG. 3 . Not all of the optical fibers 100 need be within the body 116 . For example, only the distal end 106 and the intermediate portion 108 may be located within the body 116 .
如图2至图4所示,远侧端部106可以相对于自由端部120固定。换句话说,当主体116移动时,例如当柔性部分118弯曲时,远侧端部106和自由端部120一起移动。As shown in FIGS. 2-4 , the distal end 106 may be fixed relative to the free end 120 . In other words, when the body 116 moves, eg, when the flexible portion 118 bends, the distal end 106 and the free end 120 move together.
图1至图4还示出设置在主体116内并且从中性轴线16偏移的光纤100。通过维持光纤100相对于中性轴线16的相对位置达一段距离,光纤100可以基本平行于中性轴线。图3和图4示出通过柔性部分118与中性轴线16等距离的光纤100。因此,至少当柔性部分118是平直的时,光纤100才在柔性部分处基本上平行于中性轴线16。FIGS. 1-4 also illustrate the optical fiber 100 disposed within the body 116 and offset from the neutral axis 16 . By maintaining the relative position of the optical fiber 100 to the neutral axis 16 for a distance, the optical fiber 100 can be substantially parallel to the neutral axis. 3 and 4 show the optical fiber 100 equidistant from the neutral axis 16 through the flexible portion 118 . Thus, at least when the flexible portion 118 is straight, the optical fiber 100 is substantially parallel to the neutral axis 16 at the flexible portion.
图3和图4中示出的在柔性部分118处的弯曲部必须是二维的,因为它们是二维介质中的三维物体的表示,但是应当理解,弯曲部如何能够出现在任一方向上,这将导致平移自由度和旋转自由度两者。而且,如果主体116沿中性轴线移动,则能够设想第三平移自由度。此外,主体116可以围绕中性轴线扭转第三旋转自由度。The bends at the flexible portion 118 shown in FIGS. 3 and 4 must be two-dimensional because they are representations of three-dimensional objects in a two-dimensional medium, but it should be understood how bends can occur in either direction, which will result in both translational and rotational degrees of freedom. Furthermore, a third translational degree of freedom can be envisaged if the body 116 moves along the neutral axis. Additionally, the body 116 can twist about the neutral axis with a third rotational degree of freedom.
尽管主体116和在柔性部分118处的弯曲部被示出为连续的,但弯曲部可以是如图7中所示的铰接接头160。Although the main body 116 and the bend at the flexible portion 118 are shown as continuous, the bend may be an articulating joint 160 as shown in FIG. 7 .
图8示出中间部分108可以被约束到单个自由度的第一方式。图8示出刚性构件122,其中中间部分108沿刚性构件122的中心轴线被约束在被示为孔的内部部分124内。Figure 8 shows a first way in which the intermediate portion 108 can be constrained to a single degree of freedom. FIG. 8 shows the rigid member 122 with the intermediate portion 108 constrained within an inner portion 124 shown as a bore along the central axis of the rigid member 122 .
如在图8中能够看到的,刚性构件122基本上为圆柱体的形式,该圆柱体具有沿圆柱体的轴向长度形成的平坦部126。刚性构件122由与刚性构件的圆柱形表面138接触的第一圆柱形销128和第二圆柱形销130支撑。刚性构件进一步由第三圆柱形销132和球134沿平坦部126支撑。弹簧136推动刚性构件122与三个销128、130、132和球134接触。使用这种配置,刚性构件以及因此包含在其中的光纤100只能沿刚性构件122的中心轴线移动,这导致单个平移自由度。尽管在整个文件中讨论了圆柱形销,但是也可以使用部分圆柱体或部分圆柱形的表面。As can be seen in Figure 8, the rigid member 122 is substantially in the form of a cylinder having a flat 126 formed along the axial length of the cylinder. The rigid member 122 is supported by a first cylindrical pin 128 and a second cylindrical pin 130 in contact with a cylindrical surface 138 of the rigid member. The rigid member is further supported along the flat 126 by a third cylindrical pin 132 and a ball 134 . Spring 136 urges rigid member 122 into contact with three pins 128 , 130 , 132 and ball 134 . Using this configuration, the rigid member, and thus the optical fiber 100 contained therein, can only move along the central axis of the rigid member 122, which results in a single translational degree of freedom. Although cylindrical pins are discussed throughout this document, part-cylindrical or part-cylindrical surfaces may also be used.
使用图8所示的配置,刚性构件122由通过第三圆柱形销132和球134在平坦部126上的三个接触点约束,并且由通过第一圆柱形销128和第二圆柱形销130在圆柱形表面138上的两个接触点约束。在理想或完美创建的部件上,第三圆柱形销132将沿一条线与平坦部126接触。然而,由于制造部件的不完美性质,平坦部126可能不会是完全平坦的,并且第三圆柱形销132可能不会是完美的圆形。因此,平坦部126和第三圆柱形销132之间的实际接触应该是沿假如部件被完美地制造时将存在的接触线的两个或更多个接触点。因此,平坦部126和第三圆柱形销132之间的接触是至少两个点。Using the configuration shown in FIG. 8 , rigid member 122 is constrained by three points of contact on flat 126 via third cylindrical pin 132 and ball 134 , and is constrained by first cylindrical pin 128 and second cylindrical pin 130 . Two contact points on the cylindrical surface 138 are constrained. On an ideal or perfectly created part, the third cylindrical pin 132 would make contact with the flat 126 along a line. However, due to the imperfect nature of manufactured parts, the flat portion 126 may not be perfectly flat, and the third cylindrical pin 132 may not be perfectly round. Therefore, the actual contact between the flat portion 126 and the third cylindrical pin 132 should be two or more points of contact along the line of contact that would exist if the part were perfectly manufactured. Thus, the contact between the flat portion 126 and the third cylindrical pin 132 is at least two points.
使用平坦部126上的三个接触点,刚性构件122被约束为仅在由这三个点所限定的平面中移动。当刚性构件122与第一圆柱形销128和第二圆柱形销130之间的两个接触点相加时,刚性构件122被约束为仅以单个的平移自由度移动。所有旋转都被阻止。Using the three contact points on flat portion 126, rigid member 122 is constrained to move only in the plane defined by these three points. When the two points of contact between the rigid member 122 and the first cylindrical pin 128 and the second cylindrical pin 130 are added, the rigid member 122 is constrained to move in only a single translational degree of freedom. All spins are blocked.
图9至图13中示出实现单个自由度的另一示例性方式。Another exemplary way of achieving a single degree of freedom is shown in FIGS. 9-13 .
图9示出受支撑构件142约束的块140的透视图,块140被示为具有三对平行侧面的矩形棱柱体。底座142包括第一壁144、第二壁146以及被示为第一推动构件148a和第二推动构件148b的推动构件。第一推动构件148a和第二推动构件148b被示为U形悬臂弹簧,该U形悬臂弹簧朝向第一壁144和第二壁146推动块140。可以采用旨在朝向第一壁144和第二壁146推动块140的任何设备。例如,可以采用两个线圈弹簧或者被取向成使得所施加的力的分量朝向第一壁144并且第二分量朝向第二壁146并且两个分量的合成向量大致朝向第一壁144与第二壁146的相交处的单个弹簧。Figure 9 shows a perspective view of a block 140 constrained by a support member 142, shown as a rectangular prism having three pairs of parallel sides. The base 142 includes a first wall 144, a second wall 146, and push members shown as a first push member 148a and a second push member 148b. The first urging member 148a and the second urging member 148b are shown as U-shaped cantilever springs that urge the block 140 toward the first wall 144 and the second wall 146 . Any device intended to push block 140 toward first wall 144 and second wall 146 may be employed. For example, two coil springs may be employed or oriented so that a component of the applied force is directed towards the first wall 144 and a second component is directed towards the second wall 146 and the resultant vector of the two components is generally directed towards the first wall 144 and the second wall A single spring at the intersection of 146.
图10是不同于图9的顶视图,不同之处仅在于块140和第二壁144之间的两个球形接触点150a、150b是可见的。类似地,图11示出在图9中不可见的三个球形接触点150c、150d、150e。图12示出通过图11截取的横截面,该横截面示出球形接触点可以是球的形式。球可以被固定以提供滑动接触或允许滚动并提供滚动接触。图13示出没有块140的支撑构件142,使得所有球形接触点150a至150e均可见。滚子150c、150d、150e提供沿块140的底侧的三个接触点,并且球形接触点150a、150b提供沿块140的侧面的两个接触点。Fig. 10 is a top view different from Fig. 9 only in that the two spherical contact points 150a, 150b between the block 140 and the second wall 144 are visible. Similarly, FIG. 11 shows three spherical contact points 150c, 150d, 150e not visible in FIG. 9 . Figure 12 shows a cross-section taken through Figure 11 showing that the spherical contact point may be in the form of a ball. The balls may be fixed to provide sliding contact or allowed to roll and provide rolling contact. Figure 13 shows the support member 142 without the block 140, so that all spherical contact points 150a to 150e are visible. The rollers 150c , 150d , 150e provide three contact points along the bottom side of the block 140 and the spherical contact points 150a , 150b provide two contact points along the sides of the block 140 .
使用这些附图中所示的配置,块140被约束为以平行于第一壁144和第二壁146两者的单个平移自由度移动。因此,块140可对应于中间部分108。Using the configuration shown in these figures, mass 140 is constrained to move with a single translational degree of freedom parallel to both first wall 144 and second wall 146 . Accordingly, block 140 may correspond to middle portion 108 .
所示的两种配置均提供具有单个平移自由度的中间部分108,并且可以提供由于提供约束的方式而使摩擦或阻力最小化的配置。通过上述对自由度的最小约束,潜在的机械干涉能够被最小化,并且因此沿单个自由度平移所需的力也可以被最小化。这可以是有利的,因为不会将不必要的力传递到光纤100,并且因此可减少或者最小化引入到光纤的应变,该应变可影响光纤被用来精确地感测工具形状的能力。Both configurations shown provide an intermediate portion 108 with a single translational degree of freedom, and may provide configurations that minimize friction or drag due to the manner in which constraints are provided. With the aforementioned minimal constraints on degrees of freedom, potential mechanical interference can be minimized, and thus the force required to translate along a single degree of freedom can also be minimized. This can be advantageous because unnecessary force is not transferred to the fiber 100, and thus can reduce or minimize the strain introduced into the fiber, which can affect the fiber's ability to be used to accurately sense the shape of the tool.
返回图6,使用光纤100的形状感测,可调节弯曲部114可以用于使用可调节弯曲部114的形状感测来测量近侧端部104和中间部分108之间的相对位置。因为中间部分108被约束到单个的平移自由度,所以另外五个自由度已知。因此,可调节弯曲部114能够测量第六个自由度(平移自由度),使得全部六个自由度均已知。Returning to FIG. 6 , the adjustable bend 114 may be used to measure the relative position between the proximal end 104 and the intermediate portion 108 using the shape sensing of the optical fiber 100 . Since the middle portion 108 is constrained to a single translational degree of freedom, the other five degrees of freedom are known. Thus, the adjustable bend 114 is capable of measuring the sixth degree of freedom (translational degree of freedom), such that all six degrees of freedom are known.
可调节弯曲部114还可以提供一些类似弹簧的恢复力,并因此用作返回机构。如果所施加的将中间部分108约束到单个自由度的力足够低,则可调节弯曲部114返回到平直状态的趋势可以提供足够的力以将中间部分108推动到预定的起始位置。因此,当主体116被操纵并且中间部分108被拉离预定起始位置时,可调节弯曲部114可以提供足够的恢复力以使中间部分108返回到预定起始位置。The adjustable bend 114 may also provide some spring-like restoring force and thus act as a return mechanism. The tendency of the adjustable bend 114 to return to a straight state can provide sufficient force to push the intermediate portion 108 to a predetermined starting position if the applied force constraining the intermediate portion 108 to a single degree of freedom is low enough. Accordingly, when the body 116 is manipulated and the intermediate portion 108 is pulled away from the predetermined starting position, the adjustable bend 114 can provide sufficient restoring force to return the intermediate portion 108 to the predetermined starting position.
图14示出用于将中间部分108推动到预定起始位置的替代方案。除了增加电线圈152和软铁或磁铁154(例如,电磁体)之外,图14与图6基本上相同。使用这种配置,能够用电线圈152和软铁或磁铁154施加力。因为光纤100能够提供光纤中的应变的非常灵敏的测量以及可发生的任何屈曲156,所以能够基于应变测量来控制在电线圈152中的电流,使得光纤100中的张力能够保持非常低。也能够采用返回机构的其他实现方式。例如,可以使用弹簧(例如,线圈弹簧)或加压气体(例如,空气圆柱体或空气弹簧)。Fig. 14 shows an alternative for pushing the middle part 108 to a predetermined starting position. Figure 14 is substantially the same as Figure 6 except for the addition of an electrical coil 152 and a soft iron or magnet 154 (eg, an electromagnet). Using this configuration, an electrical coil 152 and soft iron or magnet 154 can be used to apply force. Because the fiber optic 100 can provide a very sensitive measurement of the strain in the fiber and any buckling 156 that may occur, the current in the electrical coil 152 can be controlled based on the strain measurement so that the tension in the fiber 100 can be kept very low. Other implementations of the return mechanism are also possible. For example, springs (eg, coil springs) or pressurized gas (eg, air cylinders or air springs) may be used.
图15示出壳体158内的可调节弯曲部114,其中壳体158被示出为横截面。在该图中,可调节弯曲部114被示出为小于完整的环,并且大致在壳体158内部上的空间160的中间。开放空间160包括被示为表面的上边界162(即,最小弯曲半径)和下边界164(即,最大弯曲半径),这可以限制可调节弯曲部114的曲率的量。例如,上边界162和下边界164可以约束(例如,调节)可调节弯曲部114能够变得相对更弯曲或相对更平直的程度。该调节可以适应上面关于图3和图4所描述的光纤100可以相对于导管10移动的距离D。如图所示,空间160、上边界162和下边界164一起限定具有弓形轮廓的高而窄的狭槽。然而,空间160的任何取向被能够利用。例如,取代空间160在顶部上,空间160可以在底部、侧面或其间的任何位置上。而且,空间160能够是狭槽以外的形式。能够利用在为可调节弯曲部114提供期望保护的同时允许可调节弯曲部114以适合用户所期望的测量精度的方式弯曲的任何形状。但是空间160的某些性能可以提供优点。例如,所示的高而窄的狭槽可较更膨胀的容积更适合进行清洁,因为空间160的容积可以最小化,并且当针对外科用途清洁时将需要更少的清洁流体。FIG. 15 shows the adjustable bend 114 within the housing 158, where the housing 158 is shown in cross-section. In this view, the adjustable bend 114 is shown as being less than a full loop and approximately in the middle of the space 160 on the interior of the housing 158 . Open space 160 includes an upper boundary 162 (ie, minimum bend radius) and a lower boundary 164 (ie, maximum bend radius), shown as surfaces, which may limit the amount of curvature of adjustable bend 114 . For example, upper boundary 162 and lower boundary 164 may constrain (eg, adjust) the degree to which adjustable bend 114 can become relatively more curved or relatively straighter. This adjustment can accommodate the distance D that the optical fiber 100 can move relative to the catheter 10 as described above with respect to FIGS. 3 and 4 . As shown, space 160, upper boundary 162, and lower boundary 164 together define a tall, narrow slot having an arcuate profile. However, any orientation of space 160 can be utilized. For example, instead of the space 160 being on the top, the space 160 could be on the bottom, on the side, or anywhere in between. Also, the space 160 can be in a form other than a slot. Any shape can be utilized that provides the desired protection for the adjustable bend 114 while allowing the adjustable bend 114 to bend in a manner that suits the measurement accuracy desired by the user. But certain properties of space 160 may offer advantages. For example, the tall, narrow slots shown may be more suitable for cleaning than a more expanded volume because the volume of space 160 can be minimized and less cleaning fluid will be required when cleaning for surgical use.
如图15所示,可调节弯曲部114可以是渐变的弯曲部和/或平缓的弯曲部,例如相对较大的弯曲半径。弯曲部越平缓,用光纤的测量越精确。然而,相对较平缓的弯曲部将比相对较不平缓的弯曲部需要更多的空间。因此,通过用测量精度来换取尺寸,能够优化可调节弯曲部114的尺寸以及相关联的开放空间160,反之亦然。如果可调节弯曲部114是充分渐变的(例如,如图15所示),则可以实现足够精确的测量,而无需将光纤100的一部分约束到单个自由度。至少在光纤100不具有被约束到单个自由度的部分的情况下,本文中所描述的中间部分108可以指近侧端部104与远侧端部106之间的光纤100的任何部分。As shown in FIG. 15 , the adjustable bend 114 may be a gradual bend and/or a gentle bend, such as a relatively large bend radius. The gentler the bend, the more accurate the measurement with the optical fiber. However, relatively gentler bends will require more space than relatively less gradual bends. Thus, the size of the adjustable bend 114 and associated open space 160 can be optimized by trading measurement accuracy for size, and vice versa. If the adjustable bend 114 is sufficiently tapered (eg, as shown in FIG. 15 ), sufficiently accurate measurements can be achieved without constraining a portion of the fiber 100 to a single degree of freedom. Intermediate portion 108 as described herein may refer to any portion of optical fiber 100 between proximal end 104 and distal end 106 , at least where optical fiber 100 has no portions constrained to a single degree of freedom.
优选的是,当光纤100和/或导管10移动通过整个预期移动范围时,可调节弯曲部114不接触上边界162或下边界164中的任一个,使得可调节弯曲部114没有“触底”。如果可调节弯曲部114在移动期间接触上边界162或下边界164中的任一个,则可在光纤100中引起应变并影响测量精度。为避免这种情况,在最差的(例如,最大调节)情景案例下,能够在可调节弯曲部114与上边界162和下边界164两者之间提供间隙。Preferably, the adjustable bend 114 does not contact either the upper boundary 162 or the lower boundary 164 as the optical fiber 100 and/or catheter 10 moves through the entire intended range of motion, such that the adjustable bend 114 does not "bottom out." . If the adjustable bend 114 contacts either the upper boundary 162 or the lower boundary 164 during movement, strain may be induced in the optical fiber 100 and affect measurement accuracy. To avoid this, clearance can be provided between the adjustable bend 114 and both the upper boundary 162 and the lower boundary 164 in the worst case (eg, maximum adjustment) scenario.
在图15中,可调节弯曲部114大致位于上边界162和下边界164之间的中间,这对应于光纤100处于其平直的(或最平直的)位置。当光纤100与导管10(或其他柔性工具)一起弯曲时,可调节弯曲部114将朝向上边界162和下边界164中的一个移动,并且因此可调节弯曲部114将变得相对较平直或相对较弯曲。In FIG. 15, the adjustable bend 114 is approximately halfway between the upper boundary 162 and the lower boundary 164, which corresponds to the optical fiber 100 in its straight (or most straight) position. When the optical fiber 100 is bent together with the catheter 10 (or other flexible tool), the adjustable bend 114 will move toward one of the upper boundary 162 and the lower boundary 164, and thus the adjustable bend 114 will become relatively straight or Relatively curved.
图16(以横截面)示出壳体158的另一示例,该示例与图15的不同之处在于,可调节弯曲部114是完整的环(例如,360°)。在此,随着可调节弯曲部114的调节,弯曲部的直径将增大或减小。开放空间160被示出为大致圆形,其中下边界162是开放空间的径面。然而,只要空间满足其他设计考虑,可以选择任何方便的空间形状。如果可调节弯曲部114是完整的环,则可不需要上边界164。FIG. 16 shows (in cross-section) another example of housing 158 that differs from FIG. 15 in that adjustable bend 114 is a complete loop (eg, 360°). Here, as the adjustable bend 114 is adjusted, the diameter of the bend will increase or decrease. Open space 160 is shown as generally circular, with lower boundary 162 being the radial surface of the open space. However, any convenient shape of the space may be chosen as long as the space satisfies other design considerations. If adjustable bend 114 is a complete loop, upper border 164 may not be required.
在图16中,完整的环基本上竖直竖直地取向。换句话说,完整的环基本上在竖直取向的平面内。然而,能够选择任何取向的环。In Figure 16, the complete loop is oriented substantially vertically. In other words, the complete ring is substantially in a vertically oriented plane. However, any orientation of the rings can be chosen.
图16还示出基本上呈圆柱体形式的刚性构件122,刚性构件122具有沿圆柱体的轴向长度形成的平坦部126。平坦部126接触球或圆柱形销166(其可以包括另一平坦部)。因此,当在圆柱形通道168内移动时,刚性构件122可以被约束到大致一个自由度。上述将中间部分108约束到单个自由度的所有其他方法(参见例如图8至图13和相关联的描述)可以替代图16中所示的方法。如果光纤100具有被约束到单个自由度的部分,则被约束到单个自由度的部分能够用于计算单个自由度部分和远侧端部106之间的光纤100的形状和取向,简化所述形状和取向的计算和/或提高所述计算的精度。可调节的弯曲部114能够用于计算或测量被约束到单个自由度的部分的位置,其中取向基于单个自由度是已知的。然后,可以基于单个自由度部分的位置和取向来计算从单自由度部分直到并包括远侧端部106的光纤100的位置和取向。Figure 16 also shows a rigid member 122 that is substantially in the form of a cylinder having a flat portion 126 formed along the axial length of the cylinder. Flat 126 contacts a ball or cylindrical pin 166 (which may include another flat). Accordingly, rigid member 122 may be constrained to approximately one degree of freedom when moving within cylindrical channel 168 . All other methods described above of constraining the intermediate portion 108 to a single degree of freedom (see eg FIGS. 8-13 and associated descriptions) may be substituted for the method shown in FIG. 16 . If the fiber 100 has a section constrained to a single degree of freedom, the section constrained to a single degree of freedom can be used to calculate the shape and orientation of the fiber 100 between the single degree of freedom section and the distal end 106, simplifying the shape and orientation calculations and/or improve the accuracy of said calculations. The adjustable bend 114 can be used to calculate or measure the position of a part constrained to a single degree of freedom, where the orientation is known based on the single degree of freedom. The position and orientation of the optical fiber 100 from the single degree of freedom section up to and including the distal end 106 can then be calculated based on the position and orientation of the single degree of freedom section.
图17a和图17b类似于图16,相似之处在于可调节弯曲部114呈环的形式。在此,环被示出为水平的并且开放空间160未被明确界定。相反,开放空间利用未被使用的开放容积。因此也可没有明显的上边界或下边界。壳体158可以包括未示出的盖,使得内部可见。近侧端部104(未在该图中示出)可以被固定在可调节弯曲部114附近并且用作用于计算光纤100的形状的参考位置,或者能够应用单个自由度(如图9至图13以及图16中所示)。Figures 17a and 17b are similar to Figure 16, except that the adjustable bend 114 is in the form of a ring. Here, the ring is shown as horizontal and the open space 160 is not clearly defined. On the contrary, the open space makes use of unused open volumes. It is therefore also possible to have no distinct upper or lower boundary. Housing 158 may include a cover, not shown, so that the interior is visible. The proximal end 104 (not shown in this figure) can be fixed near the adjustable bend 114 and used as a reference position for calculating the shape of the optical fiber 100, or a single degree of freedom can be applied (as in FIGS. 9-13 ). and shown in Figure 16).
图18类似于图16,相似之处在于可调节弯曲部114基本上是竖直的。但是,可调节弯曲部114包括多个完整的环。如图所示,有两个完整的环(例如720°)。而且,开放空间160被示出为具有上边界162(以限制最小弯曲半径的圆柱体的形式),但没有明显的上边界。在这种配置中,上边界还为可调节弯曲部114提供支撑和/或定位位置。壳体158可以包括盖,该盖未示出以使得内部可见。这种配置还能够与上面关于近侧端部104所述的单个自由度部分和/或固定部分一起使用。Figure 18 is similar to Figure 16, except that the adjustable bend 114 is substantially vertical. However, the adjustable bend 114 includes multiple complete loops. As shown, there are two full circles (eg 720°). Also, the open space 160 is shown with an upper boundary 162 (in the form of a cylinder bounding a minimum bend radius), but without a distinct upper boundary. In this configuration, the upper boundary also provides a support and/or positioning location for the adjustable bend 114 . Housing 158 may include a cover, not shown to allow visibility of the interior. This configuration can also be used with the single degree of freedom sections and/or fixed sections described above with respect to the proximal end 104 .
包括多于一个的完整环可以是有利的,因为,对于光纤100移动的距离D,环的直径不必像单个环的直径那样改变得一样多。例如,假设环是一个圆,则使用公知的等式C=πd,环(d)的直径与周长(C)有关。如果环需要适应移动距离D的光纤,则周长将增加或减少D(C±D=πd)。这使得圆的直径变化±D/π。然而,在两个环的情况下,变化在两个环上进行,并且因此直径只需要调整±D/2π。将环数量增加到三个将导致±D/3π。因此,直径将改变的量与环的数量成反比,并且更多的环将需要更少的空间用于调节直径,这可产生更紧凑的设备。Including more than one complete loop may be advantageous because, for the distance D that the optical fiber 100 is moved, the diameter of the loop does not have to change as much as the diameter of a single loop. For example, assuming that the ring is a circle, the diameter of the ring (d) is related to the circumference (C) using the well known equation C=πd. If the ring needs to accommodate fibers that travel a distance D, the circumference will increase or decrease by D (C±D=πd). This causes the diameter of the circle to vary by ±D/π. However, in the case of two rings, the change is made on both rings, and thus the diameter only needs to be adjusted by ±D/2π. Increasing the number of rings to three will result in ±D/3π. Thus, the amount by which the diameter will change is inversely proportional to the number of rings, and more rings will require less space for adjusting the diameter, which can result in a more compact device.
对于上述开放空间160的每种实现方式,可调节弯曲部114周围的间隙的量可以基于若干因素来优化。如果可调节弯曲部114能够被约束到仅允许在一个平面内移动(例如,仅在笛卡尔坐标系的x方向和y方向上移动,而不在z方向上移动),则用光纤100进行的测量的精度可以增加,因为任何相关的计算都可以考虑到这种有限的运动。然而,此类平面约束的应用可能需要与光纤100接触,在存在任何相关摩擦的情况下,此类平面约束的应用会引起阻力,阻力在光纤中引起应变。但是这种应变可改变用于感测光纤形状的计算。For each implementation of the open space 160 described above, the amount of clearance around the adjustable bend 114 can be optimized based on several factors. If the adjustable bend 114 can be constrained to only allow movement in one plane (e.g., only in the x and y directions of a Cartesian coordinate system, but not in the z direction), then measurements made with the fiber optic 100 The accuracy of can be increased because any relevant calculations can take this limited motion into account. However, the application of such planar constraints may require contact with the fiber 100, which, in the presence of any associated friction, induces resistance that induces strain in the fiber. But this strain can change the calculations used to sense the shape of the fiber.
如果无摩擦系统是不实际的,则在可调节弯曲部114周围提供间隙则可以是可行的,这消除或者基本上减少了可调节弯曲部114和最近的壁之间的接触。这可以通过在相邻壁之间提供大于光纤100的直径或厚度的空隙来实现(例如,壳体158内的开放空间160足以沿可调节弯曲部114的预定长度在可调节弯曲部114的整个周边周围提供径向间隙)。在有限的间隙量的情况下,可调节弯曲部114能够被约束为基本上在平面内。例如,如果相邻壁之间的空隙略大于光纤100的厚度或直径多达光纤100的厚度或直径的两倍,则可调节弯曲部114可被约束为基本上在平面内。If a frictionless system is not practical, it may be feasible to provide clearance around the adjustable bend 114, which eliminates or substantially reduces contact between the adjustable bend 114 and the nearest wall. This can be achieved by providing a gap between adjacent walls that is larger than the diameter or thickness of the optical fiber 100 (e.g., the open space 160 within the housing 158 is sufficient to extend the entire length of the adjustable bend 114 along the predetermined length of the adjustable bend 114). provide radial clearance around the perimeter). With a limited amount of clearance, the adjustable bend 114 can be constrained to be substantially in-plane. For example, the adjustable bend 114 may be constrained to be substantially in-plane if the gap between adjacent walls is slightly greater than twice the thickness or diameter of the optical fiber 100 .
上述壳体158中的每个能够防止从壳体158的外部与可调节弯曲部114接触。例如,将防止用户无意中接触可调节弯曲部114从而使可调节弯曲部114变形而改变光纤100的检测形状。因此,可调节弯曲部114能够仅由于或基本上仅由于上述距离D的变化而进行调节。Each of the above-mentioned housings 158 can prevent contact with the adjustable bending portion 114 from the outside of the housing 158 . For example, a user will be prevented from inadvertently touching the adjustable bend 114 to deform the adjustable bend 114 to change the detected shape of the optical fiber 100 . Thus, the adjustable bend 114 can be adjusted solely or substantially solely due to changes in the distance D described above.
在以上讨论的配置中的每个中,可优选的是防止光纤100中的轴向应变超过500微应变,更优选地防止其超过50微应变,和/或防止光纤100具有小于0.3英寸的弯曲半径,更优选地防止光纤100具有小于3英寸的弯曲半径。In each of the configurations discussed above, it may be preferable to prevent the axial strain in the fiber 100 from exceeding 500 microstrain, more preferably prevent it from exceeding 50 microstrain, and/or prevent the fiber 100 from having a bend of less than 0.3 inches The radius, more preferably prevents the optical fiber 100 from having a bend radius of less than 3 inches.
尽管已经结合若干实际示例描述了本技术,但是应当理解的是,该技术不限于所公开的示例,而是相反,本技术旨在涵盖包括在本技术的精神和范围内的各种修改和等同布置。Although the technology has been described in connection with several practical examples, it should be understood that the technology is not limited to the disclosed examples, but on the contrary, the technology is intended to cover various modifications and equivalents included within the spirit and scope of the technology. layout.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116138703A (en) * | 2023-02-28 | 2023-05-23 | 湖南省华芯医疗器械有限公司 | Linear traction mechanism for optical fiber bundles of endoscope, handle and endoscope |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107666850B (en) | 2015-05-01 | 2020-04-17 | 直观外科手术操作公司 | Optical fiber management in a medical instrument backend |
| EP3355780B1 (en) * | 2015-10-02 | 2025-07-30 | Koninklijke Philips N.V. | Hub for device navigation with optical shape sensed guidewire |
| JP6705966B2 (en) * | 2017-03-17 | 2020-06-03 | 国立大学法人大阪大学 | Flexible endoscope and endoscope system including the same |
| US20240225542A1 (en) * | 2020-10-06 | 2024-07-11 | Helo Corp. | Personal Healthcare Device |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080285909A1 (en) * | 2007-04-20 | 2008-11-20 | Hansen Medical, Inc. | Optical fiber shape sensing systems |
| US20140275997A1 (en) * | 2013-03-15 | 2014-09-18 | Intuitive Surgical Operations, Inc. | Shape sensor systems for tracking interventional instruments and mehods of use |
| WO2014201501A1 (en) * | 2013-06-19 | 2014-12-24 | Optiscan Pty Ltd | Optical scanner and scanned lens optical probe |
Family Cites Families (31)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2672378A (en) | 1948-12-07 | 1954-03-16 | George P Mcvey | Linear bearing |
| US2983553A (en) | 1959-02-24 | 1961-05-09 | Wilbur H Dexter | Linear bearing |
| US3751139A (en) | 1971-07-12 | 1973-08-07 | Union Carbide Corp | Optical mounting device for use in laser systems |
| US4065188A (en) | 1975-02-10 | 1977-12-27 | Strathearn Audio Limited | Linear bearing for parallel tracking arm |
| JPS5551119A (en) | 1978-10-12 | 1980-04-14 | Toshiba Corp | Linear bearing device |
| US4268123A (en) | 1979-02-26 | 1981-05-19 | Hughes Aircraft Company | Kinematic mount |
| DE3412159C2 (en) * | 1984-03-31 | 1986-02-27 | Schiederwerk Günter Schmidt KG Fabrik für Apparate der Fernmelde- und Elektrotechnik, 8500 Nürnberg | Cassette-like device for accommodating the excess lengths required for making the connection of optical fibers |
| US5268986A (en) * | 1991-09-09 | 1993-12-07 | Sumitomo Electric Industries, Ltd. | Redundant length treatment mechanism for optical fiber at terminal of optical cable |
| US5201584A (en) | 1991-09-18 | 1993-04-13 | At&T Bell Laboratories | Mechanism for preloading linear bearing slides |
| US6996322B2 (en) * | 2003-01-28 | 2006-02-07 | Corning Incorporated | Dispersion compensation module |
| US7435215B2 (en) * | 2003-01-28 | 2008-10-14 | Olympus Corporation | Endoscope |
| US6915058B2 (en) * | 2003-02-28 | 2005-07-05 | Corning Cable Systems Llc | Retractable optical fiber assembly |
| US7781724B2 (en) | 2004-07-16 | 2010-08-24 | Luna Innovations Incorporated | Fiber optic position and shape sensing device and method relating thereto |
| US8545403B2 (en) * | 2005-12-28 | 2013-10-01 | Abbott Diabetes Care Inc. | Medical device insertion |
| US7930065B2 (en) * | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
| US8567265B2 (en) * | 2006-06-09 | 2013-10-29 | Endosense, SA | Triaxial fiber optic force sensing catheter |
| US9125562B2 (en) * | 2009-07-01 | 2015-09-08 | Avinger, Inc. | Catheter-based off-axis optical coherence tomography imaging system |
| US7720322B2 (en) | 2008-06-30 | 2010-05-18 | Intuitive Surgical, Inc. | Fiber optic shape sensor |
| US8183520B2 (en) * | 2009-11-13 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Optical fiber shape sensor calibration |
| US8672837B2 (en) | 2010-06-24 | 2014-03-18 | Hansen Medical, Inc. | Methods and devices for controlling a shapeable medical device |
| US8460236B2 (en) | 2010-06-24 | 2013-06-11 | Hansen Medical, Inc. | Fiber optic instrument sensing system |
| US9138166B2 (en) | 2011-07-29 | 2015-09-22 | Hansen Medical, Inc. | Apparatus and methods for fiber integration and registration |
| US9066678B2 (en) * | 2011-09-23 | 2015-06-30 | Alcon Research, Ltd. | Ophthalmic endoilluminators with directed light |
| JP5973794B2 (en) * | 2012-06-07 | 2016-08-23 | オリンパス株式会社 | Endoscope |
| US9014851B2 (en) * | 2013-03-15 | 2015-04-21 | Hansen Medical, Inc. | Systems and methods for tracking robotically controlled medical instruments |
| JP6137931B2 (en) * | 2013-04-26 | 2017-05-31 | オリンパス株式会社 | Endoscope |
| JP6446440B2 (en) * | 2013-09-30 | 2018-12-26 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | Multi-purpose lumen planning for optical shape detection |
| WO2015066238A2 (en) * | 2013-10-29 | 2015-05-07 | Ultraviolet Interventions Inc. | Systems and methods for sterilization using uv light |
| JP6307333B2 (en) * | 2014-04-22 | 2018-04-04 | オリンパス株式会社 | Endoscope device |
| US10285765B2 (en) * | 2014-05-05 | 2019-05-14 | Vicarious Surgical Inc. | Virtual reality surgical device |
| CN107666850B (en) | 2015-05-01 | 2020-04-17 | 直观外科手术操作公司 | Optical fiber management in a medical instrument backend |
-
2016
- 2016-04-29 CN CN201680032761.2A patent/CN107666850B/en active Active
- 2016-04-29 CN CN202010191219.XA patent/CN111297305B/en active Active
- 2016-04-29 US US15/570,912 patent/US10492871B2/en active Active
- 2016-04-29 WO PCT/US2016/030275 patent/WO2016179039A1/en not_active Ceased
-
2019
- 2019-11-08 US US16/678,728 patent/US11076753B2/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080285909A1 (en) * | 2007-04-20 | 2008-11-20 | Hansen Medical, Inc. | Optical fiber shape sensing systems |
| US20140275997A1 (en) * | 2013-03-15 | 2014-09-18 | Intuitive Surgical Operations, Inc. | Shape sensor systems for tracking interventional instruments and mehods of use |
| WO2014201501A1 (en) * | 2013-06-19 | 2014-12-24 | Optiscan Pty Ltd | Optical scanner and scanned lens optical probe |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116138703A (en) * | 2023-02-28 | 2023-05-23 | 湖南省华芯医疗器械有限公司 | Linear traction mechanism for optical fiber bundles of endoscope, handle and endoscope |
| CN116138703B (en) * | 2023-02-28 | 2025-07-25 | 湖南省华芯医疗器械有限公司 | Linear traction mechanism for optical fiber bundles of endoscope, handle and endoscope |
Also Published As
| Publication number | Publication date |
|---|---|
| US20180228548A1 (en) | 2018-08-16 |
| US11076753B2 (en) | 2021-08-03 |
| CN107666850B (en) | 2020-04-17 |
| CN111297305B (en) | 2023-02-28 |
| WO2016179039A1 (en) | 2016-11-10 |
| CN111297305A (en) | 2020-06-19 |
| US20200093548A1 (en) | 2020-03-26 |
| US10492871B2 (en) | 2019-12-03 |
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